Razawich, Kristin

Razawich, Kristin is an individual health care provider with primary practice located at 750 E Adams St , Syracuse NY 13210-2306. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Razawich, Kristin can be contacted via phone (315) 464-2878.

Contact Information

Primary practice address
750 E Adams St Syracuse NY 13210-2306
Phone: (315) 464-2878
Fax: (315) 464-2879
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 382072 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 382072 New York

Profile Details

NPI number 1629388004
LBN Legal business name Razawich, Kristin
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2010
Last updated Oct 21st, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629388004 NPPES
New York MEDICAID 03808422

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